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Journal of Nutrition and Human Health | Volume 3

May 23-24, 2019 | Vienna, Austria

Joint Event

2

nd

International Conference on

Gastroenterology and Digestive Disor

ders

17

th

International Conference on

Nutrition and Fitness

&

Prevalence of lamivudine drug resistance among hepatitis B virus untreated patients

Milud Ahmed Salem

1,2

, Fatie Moftah Alfazzani

3

and

Elfatah M Elnifro

2,4

1

Gharyan University, Libya

2

Saint Jamis Hospital, Libya

3

Higher Institute of Science and Technology, Libya

4

University of Al-Marghib, Libya

Background:

Hepatitis B virus (HBV) represents a global

health challenge due to its worldwide distribution and

serious complications. Mutations of HBV polymerase,

especially occurring at the highly conserved YMDD region,

are related to resistance to lamivudine. Although these

mutations are frequently secondary to lamivudine use,

they can also occur naturally.

Aim:

The aim of this study is to determine the prevalence

of genotypic resistance to lamivudine in HBV isolates

obtained from untreated HBV-infected individuals.

Methods:

Quantitative real-time PCR assay was carried out

on One hundred and fifteen clinical specimens of chronic

carriers. The specimens were extracted and amplified

using INNO-LiPA HBV Drug Resistance primers and run on

a 2% agarose gel, YMDD variants were analyzed by the HBV

Drug Resistance Line Probe assay (Inno-Lipa HBV-DR).

Results:

YMDD variants were detected in 40 (70.1%) of the

57 inactive HBV carriers. The YIDD mutant was presented

in all cases (40 cases), either alone or associated with

YVDD or V80+I80.

Conclusion:

HBV genotypic resistance to lamivudine in

untreated HBV-infected is common.

e

:

milud.salem@jgu.edu.ly